Colostomy appliance



April 5, 1960 H. D. Kl'rzUL 2,931,353

coLosToMY APPLIANCE Filed May 31, 1957 Z /f I 54 I INVENTOR.

ilnited States Patent-O 2,931,353 COLOSTOMY APPLANCE Harry D. Iznl,Flint, lVIich. Application May 31, 1957, Serial No. 652,613

7 Claims. (Cl. 12S-1) This invention relates to colostomy appliances andparticularly to an appliance for plugging the end of the colon at thepoint of attachment to the abdominal wall.

A surprising number of people have had a colostomy operation performedupon them for one reason or another. Usually a portion of the colon isremoved and the end is attached to the abdominal wall at an outlet euttherethrough. Once a day the intestines are ushed as by an enema throughthe outlet. The patient finds no discomfort with this manner ofevacuation and any dissatisfaction resulting from the appliancesavailable for closing and draining' the outlet is avoided by the presentapparatus.

The present invention pertains to an apparatus for closing and pluggingthe outlet and intestinal end in a manner to maintain comfort andprovide freedom of movement for the patient. A plug of absorbent fabricmaterial in the form of a cylinder is inserted through the outletopening into the intestine. A headed tube has a pad slid over the tubeagainst the head and a cord on the center line of the plug is drawnthrough the tube and head. The tube is inserted through the outlet intothe intestine and while the head and pad are pressed against theabdominal wall, the cord is pulled outwardly to draw the plug againstthe end of the stem. The cord is secured in a pair of slots extendinginwardly from the peripheral edge of the head to secure the plug inposition, An elastic belt is then drawn over the abdomen to cover thehead and pad and retain them against the abdominal wall. The pad andplug prevent any drainage from the intestine and outlet opening andpermit any generated gas to immediately escape without noticeable odors,which is not true with other appliances now being employed.

Accordingly, the main objects of the invention are: to provide anappliance for closing the outlet provided in a colostomy operation whichpermits freedom of movement and prevents draining; to provide anabsorbent plug for insertion in the intestine connected by a cord to aheaded tube which extends therein and retains a pad against theabdominal wall; to provide an expendable appliance for closing theoutlet from the colon through the abdominal wall which prevents seepagewhile permitting the escape of generated gas, and, in general, toprovide a colostomy appliance which is simple in construction, practicalin operation and economical in manufacture.

@ther objects and features of novelty of the invention will bespecifically pointed out or will become apparent when referring, for abetter understanding of the invention, to the following description,taken in conjunction with the accompanying drawing, wherein:

Figure l is a sectional View of a colon grown to an outlet through theabdominal wall having an appliance therein embodying features of thepresent invention;

Fig. 2 is a view of the structure illustrated in Fig. l, as viewed fromline 2-2 thereof;

to reduce and close the outlet.

Patented Apr. 5, 1960 ice Fig.v 3 is a sectional view of the structureillustrated in Fig. 2, taken on the line 3-3 thereof; and

Fig. 4 is a view in elevation of a dilator employed with the applianceillustrated in Figs. l to 3.

, The apparatus of the present invention embodies a plug 10 having acord 11 secured thereto and projecting approximately from the center ofone end thereof.` The plug is made from a soft absorbent material havinga length of approximately four times the diameter which may be one-halfinch in diameter for example. It will be understood that the diametermay varyr depending upon the diameter of the outlet and the adjacentportion of the colon. A button 12 in the nature of a sleeve 13 having ahead 14 thereon has a pad 15 slid over the sleeve against the adjacentface of the head. The pad .is made from absorption material having anaperture 16 Aably each time before the appliance is inserted inthe 25intestine. This is once each day and prevents the outlet from reducingin diameter as nature is attempting After this is done, the plug is theninserted through the outlet into the adjacent portion of the intestine.Preferably the plug is disposed in an expendable sleeve from which it ispushed directly into the outlet and intestine. rl'he cord 11 of the plug1i) extends through the hole in the sleeve 13 and head 14 and whenpulled forwardly the end of the plug abuts against the end of the sleeve13 in axial relation therewith. The cord 11 is then drawn into theapertures 17 and 18 as illustrated in Fig. 2 to retain the cord inposition. The cord ties the button 12, pad 15 and plug 10 into unitrelationship which retains the plug against moving farther inwardly intothe intestine. An elastic belt 22 is then pulled up over the head 14 andpad 15 to retain them against the abdominal wall and prevent the outwardmovement of the button and plug.

With this apparatus, the plug 10 prevents any drainage and permits anygenerated gas to immediately escape without any accumulation. With thepad 15 and elastic belt 22 held against the abdomen, the patient hasutmost comfort and freedom of movement and is handicapped in no waybecause of the change in position of the colon. By having the cord 11disposed on the center of the plug 10, the plug is centered with thebutton and the colon which is desired for the proper functioning of theapparatus. The dilator 19 is of sutcient length to expand the muscles ofthe abdominal wall to maintain a full size to the outlet at all times. Aiiange 23 may be provided at the bottom of the dilator to limit itspenetration into the outlet and intestine. It is within the purview ofthe invention to provide an aperture through the dilator through which ahose may be placed which seals off the aperture and outlet during thetime a solution is passed into the intestine.

What is claimed is:

l. An apparatus for closing the outlet in an abdominal wall to which thecolon is attached which includes, in combination, an absorption plughaving a cord on one end, and a button having a hollow sleeve and awasherlike head, the cord passing through the sleeve and head forsecuring the plug in extension of said sleeve.

2. An apparatus for closing the outlet in an abdominal wall to which thecolon is attached which includes, in combination, an absorption plughaving a cord on one end, a button provided with a plurality of slots inwhich the cord is secured to maintain the plug in extension of saidbutton, and a pad disposed over the button in abutting relation to saidhead. Y n 3.V An apparatus for closing the outletn fan abdominal wall towhichthe colon is Vattached which includes, in combination, anabsorption plug Ahaving a cord onone end, a button providedwith aplurality of slots Yin which the 'cord is Secured to maintain the plugin extension of "saidb'utton, a pad disposed fever the buttonin abutting'relation toY said head, and an elastic belt maintaining said button andpad against the abdominal wall and the plug within said outlet andcolon. Y

'4. Apparatus 'for closing the outlet through the Vabdominal wall towhich the colon Vis attached-which includes, in combination, a lplughaving a cord extending Y'from one lend thereof, and a button having ahead and a Vsleeve through which an aperture is provided for theV cordwhichextends therethrough. V

from one endV thereof, a button having- Va head and a sleeve throughwhich an aperture. is provided for the cord which extends therethrough,and a pad having an aperture through which said sleeve extends when thepad abuts said head, said cord being secured to said head to limit theinward position of the pad within said colon. f

7. Apparatus for closing *they outlet through the ahdominal wall towhich the colon is attached which inc1udes,rin combination, a plughaving a cord extending from one end thereof, abutton having a head anda sleeve through which au aperture is provided for the cord whichextends therethrough, a-pad having an aperture through which said sleeveextends when the pad Vahuts said head, said cord being secured to saidhead to limit the inward position of the pad within said colon,

Y and means secured over said button and `pad to prevent 5. Apparatusfor closing the outlet through the `abi dominal wall to which thecolon'is attached which includes,` in combination, a plug having a cordextending from one end thereof, a button having a head and a Ysleevethrough which an aperture is provided for the cord whichextendstherethrough, and a`pad having an aperture through which saidsleeve extends when the "pad abuts said head.

6. Apparatus for closing Ythe `outlet through the ahdominal'wall'towhich the colon's attached which in' Y cludes, in combination, a plughaving'a cord extending the button and yplug from moving outwardly ofsaid outlet.

References Cited in the tile of this patent UNTED STATES PATENTS 812,770Pond 4.2-7. Eebrfl's, 1906 2,176,114 Wells Oct.V 17, 1939 2,243,529Grossman et a1. May 27, Y1941 2,292,102 fCluett f Au'g. 4,1942l2,510,766 June 6, 1950 72,721,549 Ferraro Oct. 25, 1955 2,786,469lCohen Mar. 26, 1957

